Product Description
Do the concepts "culture," "cultural diversity," or "teaching culture" -- so common in health care training and practice settings today -- seem vague or abstract to you? Are you having trouble conceptualizing a practical way to gain or teach the skills necessary for culturally sensitive practice or finding resource materials that can help you do it well? If so, then Culture in Clinical Care is just what you need!
Culture in Clinical Care defines and describes culture and its interaction with individual experience and personality in the development of beliefs, values, and actions. Information about cultural beliefs related to health and wellness are explored as they affect intervention strategies. Based on ethnographic methods, mechanisms for culturally sensitive assessment and intervention are considered. The text goes beyond traditional fact-centered approaches, taking the perspective that culture is emergent in individuals as they interact with the physical and social environment.
This one-of-a-kind book provides students, as well as healthcare practitioners, chapter objectives, chapter outlines, critical thinking questions, case descriptions for discussion, self-tests and exercises, glossary, comprehensive references, line drawing, and black and white photographs. The organization of the book benefits readers because theory, examples, and practice are interwoven. Students have opportunities to practice what they are learning, and to evaluate their own effectiveness.
Culture in Clinical Care fills a niche in the health professions programs because of its theoretical approach, its emphasis on strategies and methods for clinical interventions, and its importance of strategies for practice and self-assessment.
Features
- Case study boxes to present illustrative materials to clarify theory.
- Self-assessment activities that facilitate personal exploration of cultural values and beliefs relative to culture and health.
- Assessment and intervention strategies as a quick reference list that can be used in any setting.
- Comprehensive bibliography of books, instructional materials and websites related to culture and health.
- Discussion that provides a theoretical framework for understanding individuals from disparate cultures.
- A wide array of examples from many cultures and clinical settings.
- Exercises that provide practice, as well as suggestions for evaluating effectiveness.
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Contents
Acknowledgements
About the Authors
Preface
Foreword
Chapter 1: Introduction
- Defining Culture
Describing Culture
Defining Cultural Competence
Strategies for Becoming Culturally Competent
Our Approach to Culture and Cultural Competence
Using This Book
Chapter 2: Understanding Culture
- Introduction
Our Model of Culture Emergent
Culture is Learned
Culture is Localized
Culture is Patterned
Culture is Evaluative
Culture is Persistent but Incorporates Change
Concepts of Race and Ethnicity
Chapter 3: Personality and Culture
- Introduction
Personality and Culture
Biology and Behavior
Individual Factors in Personality Development
Cultural Factors in Personality Development
Interaction of the Personal and the Cultural
Chapter 4: The Role of Culture in Health and Health Care
- Introduction
Understanding Health and Sickness
The Relationship of Culture and Health Care
Cultural Domains in Clinical Encounters
Chapter 5: Recognizing Cultural Differences: Lessons from Ethnography
- Ethnography as a Methodology
The Concept of Vantage
Chapter 6: Negotiating Cultural Differences in Working with Clients
- Values Revisited
Brokering Interactions
Envisioning Alternatives in Explanations and Interventions
Dealing with Incomplete Information
Values in Interaction
Chapter 7: Evaluating Clients and Designing Interventions in a Diverse World
- Determining What You Need to Know
Culturally Relevant Assessment
Intervention
Chapter 8: Assessing Intercultural Interactions and Interventions
- Introduction
A Consideration of Ethics
Assessing Interaction and Intervention
Improving Service in Intercultural Situations
Elements of Culturally Inclusive Therapy
References
Glossary
Index
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Reviews
"This book should be an essential text for those who are seeking to improve the quality of care they deliver across diverse communities."
— Mel Stewart, Med, MCSP, DipTP, CertED(FE), Physiotherapy
"I have used your book as a personal resource as I teach my class, and find it to be incredibly valuable; it's the ultimate guide for a teacher who prefers to facilitate rather than to just lecture."
— Molly M. Michelman, MS, RD, University of Nevada Las Vegas, Las Vegas, NV
"The text is comprehensive and the stories are excellent. For those who need to explore “culture” as it relates to clinical care, this book is for you."
— Susan Hanrahan, PT, PhD, Physical Therapy
"Culture in Clinical Care can provide students and professionals with a sound base of knowledge, insights, and techniques for handling a variety of cultural factors in clinical settings."
— Kristen Kwiatkowski-Digwood, MSPT, Advance for Physical Therapists & PT Assistants
"The authors do an excellent job of provoking thoughtful self-discovery that allows the reader to begin to understand their own cultural beliefs and set the stage for learning about divergent cultures."
— Fran Brazell, MA, OTR/L, The American Journal of Occupational Therapy
"...it is an excellent resource on cultural aspects."
— Sandy Haegert, Nursing Ethics
"This book takes a fresh view of a very "hot" topic in health care today."
— Teresa May-Benson, MS, OTR/L, Research Director at Occupational Therapy Associates—Watertown, Watertown, MA
"There are no other books that do what this book does. The completeness, the current information, and documentation show that the authors are well-versed on the subject and communicated the information very well."
— Gloria Weddington, PhD, Communicative Disorders & Sciences, San Jose State University, San Jose, CA
"The cases and examples are very helpful, as they represent the naturalistic piece of the discussion about multiculturalism. I commend the authors for their wide-ranging cases and examples! This is a refreshing text, complete with personal ‘touches’."
— Amy Wagenfeld, MA, OTR/L, Lecturer at Lasell College, Newton, MA
"The authors do an excellent job of keeping examples diverse. (The Book) can be applied in a wide variety of disciplines. The cases and examples are well-balanced."
— Steve Slane, PhD, Cleveland State University, Cleveland, OH
"Culture in Clinical Care is a wonderful contribution to all clinicians seeking to be effective practitioners."
— Russell G. Brown, MD, Santa Fe, NM
"In light of the ever increasing diversity of our society, it is vital that all members of the healthcare team are sensitive to the cultural beliefs of those they serve. The authors of this text provide invaluable information to aid providers in the delivery of culturally appropriate care."
— Leah Shaikh, RN, Saint Luke's Foundation of Cleveland, Cleveland, OH
"The chapters on evaluation and assessment provide the clinician with basic strategies that can be easily integrated into the occupational therapy approach."
— Edith Lemay, Canadian Journal of Occupational Therapy
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About the Authors
Bette R. Bonder, PhD, OTR/L, FAOTA
Bette R. Bonder, PhD, OTR/L, FAOTA, Professor of Health Sciences and Psychology at Cleveland State University, is an occupational therapist and psychologist with experience working with individuals from diverse backgrounds in mental health, gerontology, and developmental disabilities. She is currently engaged in a study of the meaning of occupation for older adults, including examination of cultural factors that affect occupational choice and interpretation.
Laura Martin, PhD
Laura Martin, PhD, Associate Dean of Arts and Sciences and Professor of Anthropology and Modern Languages at Cleveland State University, is a linguist with extensive fieldwork experience in the United States and Central American cultures, especially Mayan cultures. She has taught languages, linguistics, fieldwork methodologies, and a variety of cultural courses, and has conducted research on cultural issues in educational settings, including study-abroad settings and in health-related contexts.
Andrew W. Miracle, PhD
Andrew W. Miracle, PhD, Associate Dean of Health and Urban Affairs and Professor of Public Health at Florida International University, is an anthropologist with fieldwork experience in South America and in educational settings in the United States, including studies on the effects of school sports on athletes and communities. He has published articles and books on human sexuality, including a forthcoming text coauthored with his wife, Tina S. Miracle, and Roy F. Baumeister.
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Related Web Site

Instructor Materials
Instructors: Visit our new website especially for you at efacultylounge.com! Through this website you will be able to access a variety of materials including, Culture in Clinical Care, Instructor’s Manual. Available on-line, this exciting manual contains additional exercises, resource lists, study guides, material for student assessment, and duplicate handouts for classroom use.
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